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[Colonothoracic fistulas: presentation of 2 cases]
Acta Chirurgica Belgica
|May 1, 1985
Summary
Colothoracic fistulae, rare connections between the colon and thorax, can arise from lung infections or complicated colon issues. Treatment involves antibiotics, colon surgery, and chest drainage for successful outcomes.
Area of Science:
- Thoracic surgery
- Gastroenterology
- Infectious diseases
Background:
- Colothoracic fistulae are uncommon but serious conditions.
- Etiologies can be intrathoracic (e.g., actinomycosis) or intraabdominal (e.g., diverticulitis).
Observation:
- Reported are two cases of colothoracic fistulae.
- Case 1: Secondary to pulmonary actinomycosis.
- Case 2: Secondary to complicated colic diverticulitis.
Findings:
- Multiple etiologies exist for colothoracic fistulae.
- Successful treatment requires a multi-modal approach.
Implications:
- Effective intravenous antibiotic therapy is crucial.
- Surgical resection of the affected colon segment is necessary.
- Thoracic drainage is essential for managing pleural complications.